Organization
BRIAN BRIESEMEISTER DDS AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GENE BRIESEMEISTER DDS (OWNER)
(757) 929-7100
Entity
Organization
Contact information
Practice address
2303 W MOREHEAD ST STE 103, CHARLOTTE, NC 28208-5185
(757) 929-7100
Mailing address
1301 BRIDGEPORT WAY STE 109, SUFFOLK, VA 23435-1960
(757) 929-7100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/28/2025
Last updated
07/06/2026
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